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Nursing home accountants

Specialist nursing home accountants.

Accounting and financial reporting built around occupancy, staffing, fee income and the operational pressures that determine nursing-home profitability.

Providers we support Independent homes to multi-site groups
Financial focus Occupancy, staffing and fee income
Engagement Fixed-fee, sector-specific
Areas served England, Wales and Scotland

Why specialist accounting matters

Nursing-home finance is operational finance.

The financial performance of a nursing home can move quickly when occupancy, resident mix, staffing requirements or agency usage changes. Year-end accounts alone do not give operators enough visibility to manage those movements.

We connect accounting with the operational drivers behind the numbers, helping owners and management teams understand site-level performance, payroll pressure, cash requirements and the contribution generated by occupied beds.

What we focus on

Financial information built around the operating model.

Operational drivers
  • Occupancy and revenue trends by site
  • Payroll as a percentage of income
  • Agency staffing cost analysis
Financial visibility
  • Fee and remittance reconciliation
  • NHS-funded nursing care income visibility
  • Cash-flow and working-capital forecasting

Management reporting

See the numbers that explain performance, not simply the numbers that get filed.

Management information should make it easier to identify pressure early. We structure reporting so management can see where changes in occupancy, staffing and fee income are affecting margin.

Reporting
  • Site-by-site management accounts
  • Budget versus actual reporting
  • Occupancy and income analysis
Planning and advice
  • Payroll and agency cost trends
  • Rolling cash-flow forecasts
  • Board and lender reporting

Frequently asked questions

Questions operators commonly ask us.

01

Can you work with a single nursing home?

Yes. The reporting can be scaled for an independent home while retaining the same focus on occupancy, payroll, cash flow and profitability.

02

Can you report across a nursing-home group?

Yes. We can structure management information by site and at group level so stronger locations do not hide underperformance elsewhere.

03

Can you help with acquisitions and funding?

Yes. Our wider services include financial due diligence, forecasting, lender reporting, funding support and acquisition analysis.

Specialist care-sector accounting

Related sectors we support.

Talk to a specialist

Better financial decisions begin with clearer numbers.